The Summary of Benefits & Coverage can be found at healthcare.gov. A paper copy of this Summary of Benefits & Coverage is available upon request by calling our toll free number. Click here to view the Uniform Glossary of Coverage and Medical Terms.

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Important notices and disclaimers

The benefits matrix is a summary for informational purposes only. Review the evidence of coverage and insurance policy (plan contract) for a detailed description of coverage benefits, limitations, and exclusions. Only the terms and conditions of coverage benefits listed in the policy are binding.

The benefits listed may be contingent on your use of physicians, hospitals, and services within the specific insurance company's provider network.

The Copayment, Deductible, and Coinsurance amounts are your share of the costs for covered benefits. These amounts are subject to change.

Each insurance carrier may have unique Notices, Disclaimers, and Fees. Please check below for information regarding the plans and carriers you selected.

The quotes or rates shown above are estimates only. Your premium is subject to change based on the optional benefits you selected, if any, and other relevant factors, such as changes in rates that take effect before your coverage start date. The insurance company always determines your actual premium. Insurance companies reserve the right to change the terms of a policy upon proper notification.

The Summary of Benefits & Coverage can be found at healthcare.gov. A paper copy of this Summary of Benefits & Coverage is available upon request by calling our toll free number. Click here to view the Uniform Glossary of Coverage and Medical Terms.

These estimates are derived from the estimated retail price of a drug compared to the estimated amount that a particular plan covers for that drug in certain scenarios. These factors are subject to change, so the information on our site may not be accurate, complete, or up-to-date. In addition, other factors not included in this methodology may affect the actual prices you pay for drugs in different scenarios. We do not warrant the accuracy of coverage information, prices, or other data on this website.

Drug pricing data is calculated based on third-party sources. The amount you actually pay in a particular case will vary based on many factors, not all of which are considered in generating these estimates.

Plan coverage and estimated costs are based on several assumptions including the drug being covered and medically necessary, use of an in-network pharmacy, and other plan rules being followed. Drug coverage information comes from insurance companies, which change their coverage rules periodically. Drugs listed here may not be covered by your plan, and plan rules such as prior authorization, step therapy, and quantity limits may apply.

This tool provides you with information that may be helpful in understanding what your costs may be under your selected plan. Use this information to complement other sources of information. It is not intended to be the only information you use to evaluate whether a particular plan is right for you. This information may have errors or be outdated, so you should always check your selected plan’s latest formulary and benefit details to confirm any estimates shown on this site. This information is not medical advice regarding your condition.